World AIDS Day 2023: Addressing HIV Challenges Locally and Globally

World AIDS Day on December 1 serves as a crucial opportunity to reflect on the ongoing challenges posed by HIV and AIDS both locally in York Region and around the globe. This year’s theme, “Overcoming disruption, transforming the AIDS response,” emphasizes the impact of recent funding cuts on global initiatives aimed at combating HIV/AIDS.

In early 2025, the U.S. Government suspended most foreign aid and ended its funding agreement with the United Nations Joint Programme on HIV/AIDS (UNAIDS). This decision is significant, as the U.S. previously contributed approximately two-thirds of international funding for HIV prevention in low- and middle-income countries. The cessation of this support threatens critical prevention services, although it remains unclear how much of the funding will be permanently halted.

Jonille De Los Santos, the healthy living manager of York Region, highlighted the local repercussions of these funding cuts. She noted that reduced global support can strain local services, particularly those catering to new immigrants, while also raising HIV incidence rates abroad. Additionally, these cuts disrupt essential drug supplies and surveillance efforts. “Together, through compassion and awareness, we can end stigma and move closer to ending AIDS in Canada and beyond,” De Los Santos stated.

HIV is a sexually transmitted infection that occurs when the Human Immunodeficiency Virus enters a person’s bloodstream. Initially, individuals may experience flu-like symptoms, but the virus progressively destroys T-helper cells, which are vital for immune function. Without sufficient T-helper cells, the body becomes vulnerable to various infections, ultimately leading to AIDS.

According to government data released on December 31, 2022, the number of new HIV cases in Canada decreased by approximately 25 percent from 1,757 cases in 2019 to 1,325 cases in 2020. However, the COVID-19 pandemic disrupted services related to sexually transmitted and bloodborne infections, including HIV testing. From 2020 to 2022, the number of new cases rose to 1,833, returning to levels similar to pre-pandemic figures.

De Los Santos emphasized the continuing importance of HIV awareness in York Region, where the virus remains a public health concern intertwined with race, gender, income, and stigma-related barriers. A lack of information can perpetuate harmful stereotypes and deter individuals from seeking necessary care.

One of the preventive measures available is Pre-Exposure Prophylaxis (PrEP), a daily oral medication or long-term injection that significantly reduces the risk of HIV infection. De Los Santos noted that extensive studies and real-world experiences have demonstrated PrEP’s effectiveness. “It’s important to have these conversations openly to boost awareness about HIV, testing, and treatment options available and to reduce stigma,” she said.

York Region’s Sexual Health Clinics have partnered with GetaKit, which offers free lab-based testing for sexually transmitted infections through an online assessment. This initiative includes self-test HIV kits that individuals can use privately at home.

For those concerned about the implications of global HIV/AIDS funding cuts, De Los Santos encourages engagement with local organizations, sharing petitions, participating in social media campaigns, and supporting policies that safeguard access to essential HIV services.

To learn more about World AIDS Day and its significance, visit https://worldaidsday.org.